KUMUDCHANDRA S SHAH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****06

NOT RENEWED

N

KUMUDCHANDRA S

SHAH

MD

KUMUDCHANDRA S SHAH MD

01/01/1997

05/20/2020

07/31/2023

FRANKFORT

IL

60423

COOK

II III IV V

N

11/30/2023